Orthodontic Camouflage of Skeletal Class III: Treatment with Carriere Motion Appliance & Fully Customized Insignia Orthodontic System

Treating Class III patients without cumbersome appliances and with patient-specific orthodontics in a predictable manner is desirable for both the patient and the dentist.

Meeting patients’ aesthetic expectations and improving their function with nonsurgical correction of Class III skeletal malocclusion can be a challenging task. Several options such as surgery and orthodontic camouflage are available for the treatment of skeletal Class III malocclusions. But Class III correction can be achieved without extractions, extra oral appliances; like facemasks and chin cups, by using specialized intra oral appliances.^1,2

This article discusses a skeletal Class III malocclusion case treated with a Carriere Class III motion Appliance (trademark of Henry Schein Orthodontics, Melville, NY.) and an Insignia Custom Appliance (trademark of Ormco, Glendora, CA).

The Class III Motion Appliance is a minimally invasive appliance for quickly converting Class III malocclusions into a Class I platform, while still retaining patients’ original facial features.³ This appliance is used as a Phase I therapy, followed by full bonded appliance therapy or aligners to further refine and finish the case.

In the era of digital orthodontic treatment planning and fully customized appliances like Insignia, it is now possible to treat patients with increased precision, predictability and feasibility.

The Insignia system consists of individualized hardware like brackets, archwires and indirect bonding trays that can be produced with the help of cutting-edge technologies like CAD/CAM, scanners, and robotics on a target setup.⁴